Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.50 / $2,884.50 / $7,563.00	Facility		$415.50	$2,884.50	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $457.77 / $1,012.26	Professional		$292.30	$457.77	$1,012.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.17 / $542.98 / $1,077.72	Professional		$423.17	$542.98	$1,077.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $440.80 / $1,716.00 / $6,213.00	Facility		$440.80	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $440.80 / $714.38	Professional		$440.80	$440.80	$714.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $535.54 / $535.54	Facility		$535.54	$535.54	$535.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.47 / $618.83 / $1,507.65	Professional		$343.47	$618.83	$1,507.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $342.74 / $849.60	Facility		$207.00	$342.74	$849.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $535.07 / $761.93 / $1,124.32	Professional		$535.07	$761.93	$1,124.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.48 / $459.48 / $459.48	Facility		$459.48	$459.48	$459.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $597.99 / $1,054.86	Professional		$377.06	$597.99	$1,054.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,236.25 / $3,236.25 / $5,142.05	Facility		$3,236.25	$3,236.25	$5,142.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $555.00 / $597.00	Facility		$535.54	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.26 / $643.59 / $1,456.38	Professional		$374.26	$643.59	$1,456.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.63 / $582.54 / $1,560.45	Professional		$427.63	$582.54	$1,560.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.42 / $380.42 / $1,113.97	Facility		$380.42	$380.42	$1,113.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.42 / $640.34 / $1,054.86	Professional		$380.42	$640.34	$1,054.86